Individual provider Active NPI

Rachael Barker, O.D.

  • Optometrist
  • Maple Grove, MN
National Provider Identifier
1780980490
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3837 Issued in MN
Practice address
7884 Main St N
Maple Grove, MN 55369-7081
Phone
(763) 420-6981
NPI assigned
Jan 28, 2011
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3837 MN Primary

Addresses

Primary practice location

7884 Main St N
Maple Grove, MN 55369-7081

Mailing address

4129 James Cir
Arden Hills, MN 55112-1923
Phone (425) 941-1582

Other practice location 1

1202 Moore Lake Dr E
Fridley, MN 55432-5170
Phone (763) 292-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001355 MN Practitioner - Optometry 0345469375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 Moore Lake Dr E
Fridley, MN 55432-5170
Phone (763) 574-0075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Eye Care Centers, PA Optometrist CurrentSince Feb 22, 2022 Accepting new patients
Optometric Eye Care Centers, P.a. Optometrist Current Accepting new patients
Leslie J. Lung, O.D. Optometrist PastSince Dec 13, 2017 Accepting new patients
Optometric Eye Care Centers, PA Optometrist PastSince Jul 31, 2023 Accepting new patients

Locations

7884 Main St N
Maple Grove, MN 55369
Phone (763) 420-6981

1202 Moore Lake Dr E
Minneapolis, MN 55432
Phone (763) 567-0075

1965 11th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 777-3555

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1780980490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 JAMES CIR",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551121923",
            "telephone_number": "425-941-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7884 MAIN ST N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697081",
            "telephone_number": "763-420-6981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Moore Lake Dr E",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554325170",
            "country_code": "US",
            "telephone_number": "763-292-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "RACHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.